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Trustee Articles

Supporting High-Performing Boards: Is It Time for Dedicated Governance Leadership?

Some 66 percent of U.S. hospitals are now part of health systems, according to 2016 survey data from the American Hospital Association. As systems continue to grow in scope and complexity, their governance often follows suit.
Trustee Articles

Sample Committee Charter

This is a sample committee charter: people and culture committee.
Trustee Articles

Position Description for a Chair-Elect

From time to time as provided in the bylaws, the Board may designate the Vice Chairperson as a Chair-Elect. In such cases, the Chair-Elect’s responsibilities go beyond the usual role of a Vice Chair to lead the board in the Chairperson’s absence. The responsibilities of a Chair Elect include...
Trustee Articles

Participation Is Not Optional

A board that engages 100% of its membership results in effective governance.
Trustee Articles

New Positions Focus on Care and Management

New positions are being created in and outside of health care that are dedicated to the care and management of boards. These positions report to the office of the president and often have a dual-reporting relationship to the chief executive and another member of senior management, such as the chief of staff.
Trustee Articles

Governance Staffing: How Much Do We Need?

In most professions, there are clear and relatively consistent pathways along one’s career continuum, as well as clearly defined experiential and educational requirements. Not so with health care governance staffing, which ranges from board support provided by a CEO’s assistant all the way to a comprehensive governance support staff led by a senior vice president/chief governance officer.
Trustee Articles

Good Governance Policies in the Post-Enron Environment

The governance challenges raised in the post-Enron environment are motivating many boards and their general counsels to draft new board policies and tighten up existing ones.
Trustee Articles

Effective CEO Performance Evaluation

Following key strategies for effective CEO performance appraisals are essential to the health care board’s role.
Trustee Articles

Distinguishing Governance and Management

“What is the difference between governance and management?” is by far the question that not-for-profit executives and directors ask most often. Effective boards understand the difference between governing and managing; dysfunctional boards do not.
Trustee Articles

Preserving the Distinction Between Management and Governance

Clarifying accountabilities between management and governance is essential for high performance. Discover best-practice governance principles in this article.